She has since decided to wait until they are married to disclose her status to him.
I encouraged her to tell him by asking how she would feel if she were in his place.
When Ryan White tried to return to school, he fought AIDS-related discrimination in his Indiana community.
Along with his mother Jeanne White Ginder, Ryan White rallied for his right to attend school - gaining national attention - and became the face of public education about his disease.
The patient was a newly diagnosed woman with a single-digit CD4 count, which means her immune system had been destroyed by HIV.
The urgency is building because I have witnessed countless scenarios many of which are variations on this theme.Each one faces a social challenge — unemployment, chronic hunger with no access to food, lack of transportation, homelessness.But the challenge I faced with my new patient made these issues seem like a walk in the park.She did not feel strong enough to divulge her secret on her own and thought she could draw strength from my presence as I diffused what might become a tense and awkward situation However, as I played the scenario out with her, she realized this would create additional ethical dilemmas and a series of untruths and dishonesty from which neither of us could recover.These issues around disclosure, personal responsibility and the need for clarity around my role as a health care provider give me heartburn. Why doesn’t the law speak clearly and guide me about how to address these issues?